Dr Jared E Bowman, DC | |
138 W Cameron Ave, Kellogg, ID 83837-2305 | |
(208) 783-1818 | |
Not Available |
Full Name | Dr Jared E Bowman |
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Gender | Male |
Speciality | Chiropractor |
Location | 138 W Cameron Ave, Kellogg, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477807287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-1522 (Idaho) | Primary |
Provider Name | Bowman Chiropractic Wellness Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861165284 PECOS PAC ID: 6901292796 Enrollment ID: O20220525001317 |
Mailing Address | Practice Location Address |
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Dr Jared E Bowman, DC 138 W Cameron Ave, Kellogg, ID 83837-2305 Ph: (208) 783-1818 | Dr Jared E Bowman, DC 138 W Cameron Ave, Kellogg, ID 83837-2305 Ph: (208) 783-1818 |
Josh Bowman Dc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 138 W Cameron Ave, Kellogg, ID 83837 Phone: 208-783-1818 | |
Joshua Seth Bowman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 138 W Cameron Ave, Kellogg, ID 83837 Phone: 208-783-1818 | |
Bowman Chiropractic Wellness Center Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 138 W Cameron Ave, Kellogg, ID 83837 Phone: 208-783-1818 Fax: 208-783-1818 |